4TK-15804-99158

4 vaccinations 10 coded responses 11 check-ins 9 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 752 / TX
Registered: 2022-05-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2623960 (opens in a new window)	low	9 / 11	9	1 of 1 VAERS symptoms	same dose (4)	TX matches	2022-04-29 / 2023-04-30 / 2023-05-01 received 273 days after the last call	case 895381

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-06
Dose 1 — Moderna
2021-02-03
Dose 2 — Moderna
2021-08-11
Dose 3 — Moderna
2022-04-29
Dose 4 — Moderna
2022-05-02
Registered in v-safe
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-04
Survey response — days 1–6 daily, dose 4
MedDRA: Decreased appetite — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: No appetite

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Survey response — days 1–6 daily, dose 4
MedDRA: Rhinitis — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches

Free text: Rhinitis

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Survey response — day 7, dose 4
MedDRA: Cough — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Survey response — day 14, dose 4
MedDRA: Headache, Heart rate increased, Nausea, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Nausea HeadacheUTI Elevation in pulse rate

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-16
Call successful
Completed over the phone
2022-05-21
Survey response — day 21, dose 4
MedDRA: Arrhythmia, Chills, Decreased appetite, Dyspnoea, Ear pain, Eye pain, Fatigue, Headache, Myalgia, Nasal congestion, Office visit, Oropharyngeal pain, Polyuria, Poor quality sleep, Pruritus, Rash, Tremor, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Erratic pulse Diffficuty breathing Headache Extremely fatigued Rash and iitching Stuffy nose Myalgias Sore eyes Poor appetite Sore throat Poor sleeping Earache Issues with my mouth Shaking chills Polyuria · Healthcare visit (other): (b)(6) Dr (b)(6) office stat CT Angiiogrram of the chest

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call successful
Does not wish to fill out VAERS report
2022-05-28
Survey response — day 28, dose 4
MedDRA: Asthenia, Chills, Decreased appetite, Dysgeusia, Fatigue, Headache, Heart rate irregular, Lymphadenopathy, Office visit, Tooth fracture — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: CT Angiogram of chest. UTSW 3 broken lower teeth with temp repair Headache Chills, fatigue Loss of appetite Erratic pulse Very little energy Swollen glands Bad taste in my mouth · Healthcare visit (other): Radiology (b)(6)Faceto face visits with providers

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Report sent to call center — day 28, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-06-01
Call 1 — Left Voicemail
2022-06-02
Call successful
Does not wish to fill out VAERS report
2022-06-03
Survey response — day 35, dose 4
MedDRA: Back pain, Fatigue, Heart rate increased, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Elevated and erratic pulse; severe fatigue, back pain · Healthcare visit (other): Cardiologist at (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — day 35, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-06-07
Call 1 — Requested Callback
2022-06-07
Callback requested for
2:12PM ET
2022-06-07
Call successful
Does not wish to fill out VAERS report
2022-06-10
Survey response — day 42, dose 4
MedDRA: Chills, Dysgeusia, Fatigue, Headache, Heart rate irregular, Office visit, Oropharyngeal pain, Tooth abscess, Tooth fracture — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Dental abscess, chills, headache, irregular heart beat, sore throat , broken teeth, fatigue, ba taste in my mouth · Healthcare visit (other): Dentist

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-13
Call successful
Does not wish to fill out VAERS report
2022-07-29
Survey response — 3 months, dose 4
MedDRA: Arthralgia, Cough, Fatigue, Headache, Heart rate irregular, Insomnia, Myalgia, Office visit, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: erratic heart rate Insomnia Joint pain& myalgias knee pain Cough Headache , fatigue , sore throat · Healthcare visit (other): Physician's office x3

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-01
Call successful
Reported to VAERS during previous contact from GDIT
2023-01-20
Callback requested for
09:00AM ET
2023-04-29
Survey response — 12 months, dose 4
MedDRA: Arthralgia, Headache, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-29
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-02
Call 1 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna	No
2	2021-02-03	Moderna	No
3	2021-08-11	Moderna	No
4	2022-04-29	Moderna	No

Call center

7 call center cases

6 successful · 1 unsuccessful

VAERS report filed, before or during a call: 2

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 11 — days 1–6 daily, dose 4

2022-05-04

Systemic reaction (other): No appetite

2022-05-05

Systemic reaction (other): Rhinitis

Release 11 — day 7, dose 4

2022-05-08

Systemic reaction (other): Cough

Release 11 — day 14, dose 4

2022-05-14

Symptoms: Nausea HeadacheUTI Elevation in pulse rate

Release 11 — day 21, dose 4

2022-05-21

Symptoms: Erratic pulse Diffficuty breathing Headache Extremely fatigued Rash and iitching Stuffy nose Myalgias Sore eyes Poor appetite Sore throat Poor sleeping Earache Issues with my mouth Shaking chills Polyuria

Healthcare visit (other): (b)(6) Dr (b)(6) office stat CT Angiiogrram of the chest

redacted (b)(6)

Release 11 — day 28, dose 4

2022-05-28

Symptoms: CT Angiogram of chest. UTSW 3 broken lower teeth with temp repair Headache Chills, fatigue Loss of appetite Erratic pulse Very little energy Swollen glands Bad taste in my mouth

Healthcare visit (other): Radiology (b)(6)Faceto face visits with providers

redacted (b)(6)

Release 11 — day 35, dose 4

2022-06-03

Symptoms: Elevated and erratic pulse; severe fatigue, back pain

Healthcare visit (other): Cardiologist at (b)(6)

redacted (b)(6)

Release 12 — day 42, dose 4

2022-06-10

Symptoms: Dental abscess, chills, headache, irregular heart beat, sore throat , broken teeth, fatigue, ba taste in my mouth

Healthcare visit (other): Dentist

Release 12 — 3 months, dose 4

2022-07-29

Symptoms: erratic heart rate Insomnia Joint pain& myalgias knee pain Cough Headache , fatigue , sore throat

Healthcare visit (other): Physician's office x3

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	·	·	✓
SD	Arrhythmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Back pain	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Dysgeusia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	·	·	✓
SD	Eye pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Heart rate irregular	·	·	✓
SD	Insomnia	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Polyuria	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash	·	·	✓
SD	Tooth abscess	·	·	✓
SD	Tooth fracture	·	·	✓
SD	Tremor	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Cough	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Rhinitis	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release